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Medicare Fraud Strike Force

Medicare Fraud Strike Force Teams harness data analytics and the combined resources of Federal, State, and local law enforcement entities to prevent and combat health care fraud, waste, and abuse. First established in March 2007, Strike Force teams currently operate in the following areas: Miami, Florida; Los Angeles, California; Detroit, Michigan; Houston, Texas; Brooklyn, New York; Baton Rouge and New Orleans, Louisiana; Tampa and Orlando, Florida; Chicago, Illinois; Dallas, Texas; Washington, D.C.; Newark, New Jersey/Philadelphia, Pennsylvania; and the Appalachian Region.

The Appalachian Regional Strike Force, which focuses on illegal opioid prescriptions, was formed in October 2018.

The Newark/Philadelphia regional Strike Force location was formed in August 2018.

Map of Strike Force Locations

Strike Force teams bring together the efforts of the Office of Inspector General, the Department of Justice, Offices of the United States Attorneys, the Federal Bureau of Investigation, local law enforcement, and others.

These teams have a proven record of success in analyzing data and investigative intelligence to quickly identify fraud and bring prosecutions. The interagency collaboration also OIG Agentsenhances the effectiveness of the Strike Force model. For example, OIG refers credible allegations of fraud to the Centers for Medicare & Medicaid Services (CMS) so that it can suspend payments to the suspected perpetrators, thereby immediately preventing losses from claims submitted by Strike Force targets.

Strike Force teams have shut down health care fraud schemes around the country, arrested more than a thousand criminals, and recovered millions of taxpayer dollars.

Latest Strike Force Enforcement Actions

May 17, 2019; U.S. Department of Justice
Baton Rouge Doctor Sentenced to Prison for Fraudulent Billing Scheme
May 8, 2019; U.S. Department of Justice
New York Diagnostic Testing Facility Owners Plead Guilty in More than $18.5 Million Health Care Fraud Scheme
May 8, 2019; U.S. Department of Justice
Nigerian Man Pleads Guilty to Role in $8.3 Million Medicare Fraud Scheme and Related Money Laundering
May 8, 2019; U.S. Department of Justice
South Florida Patient Recruiter Sentenced for Role In $1.6 Million Kickback Scheme
April 30, 2019; U.S. Department of Justice
Owner of Florida Medical Clinic Sentenced to Prison
April 22, 2019; U.S. Department of Justice
Michigan Home Health Agency Owner Sentenced to Prison for $8.3 Million Medicare Fraud
April 9, 2019; U.S. Department of Justice
Federal Indictments & Law Enforcement Actions in One of the Largest Health Care Fraud Schemes Involving Telemedicine and Durable Medical Equipment Marketing Executives Results in Charges Against 24 Individuals Responsible for Over $1.2 Billion in Losses
April 5, 2019; U.S. Department of Justice
South Florida Health Care Facility Owner Convicted for Role in Largest Health Care Fraud Scheme Ever Charged by The Department of Justice, Involving $1.3 Billion in Fraudulent Claims
April 4, 2019; U.S. Department of Justice
Former CEO of Tennessee Pain Management Company Convicted for Role in Approximate $4 Million Medicare Kickback Scheme
April 4, 2019; U.S. Department of Justice
Former Administrator of Two Houston Home Health Companies Sentenced to Prison in $20 Million Medicare Fraud Scheme
April 2, 2019; U.S. Department of Justice
Dallas-Area Home Health Care Employee Sentenced to Five Years in Prison for His Role in a $3.7 Million Health Care Fraud Scheme
March 28, 2019; U.S. Department of Justice
Chicago Home Health Company Owner Convicted for Role in $3 Million Kickback Scheme
March 19, 2019; U.S. Department of Justice
Florida Pharmacist Sentenced to 10 Years in Prison for $100 Million Compounding Pharmacy Fraud Scheme Eight Others Previously Sentenced
March 19, 2019; U.S. Department of Justice
Louisiana-Based Licensed Clinical Social Worker Pleads Guilty to Medicaid Fraud Scheme
March 13, 2019; U.S. Department of Justice
Creator of Fraudulent Chicago-Area Pharmacy Sentenced to Five Years in Prison for $1.6 Million Fraud Scheme
March 13, 2019; U.S. Department of Justice
Philadelphia-Area Doctor Pleads Guilty to Unlawfully Distributing Oxycodone
March 13, 2019; U.S. Department of Justice
Owner of Washington, D.C.-Based Durable Medical Equipment Company Sentenced to Prison for Role in $9.8 Million Medicaid Fraud Scheme
February 27, 2019; U.S. Department of Justice
Florida Home Health Services Company Owner and Co-Conspirator Sentenced to Prison for Role in $8.6 Million Health Care Fraud Scheme
February 25, 2019; U.S. Department of Justice
Southern California Pharmacy Owner Sentenced to Prison for Her Role in Health Care and Wire Fraud Scheme
February 22, 2019; U.S. Department of Justice
South Florida Patient Recruiter Convicted For Role In $600,000 Health Care Kickback Scheme
February 15, 2019; U.S. Department of Justice
Michigan Patient Recruiter Pleads Guilty in $1.2 Million Kickback Scheme
February 14, 2019; U.S. Department of Justice
Baton Rouge Doctor and His Medical Billing Supervisor Plead Guilty to Fraudulent Billing Scheme
December 19, 2018; U.S. Department of Justice
Eight Dallas-Area Pharmacy Owners and Marketers Charged in $9 Million Kickback Scheme
December 18, 2018; U.S. Department of Justice
Miami-Area Pharmacy Owner Sentenced to Over Seven Years in Prison for Role in $8.4 Million Medicare Fraud Scheme
December 17, 2018; U.S. Department of Justice
Miami-Area Woman Sentenced to Over Six Years in Prison for Role in $4.65 Million Medicare Fraud Scheme
December 14, 2018; U.S. Department of Justice
Pharmacy Owner Convicted in Medicare Fraud Scheme
December 7, 2018; U.S. Department of Justice
South Florida Pharmacy Owner Sentenced to Almost Four Years in Prison for Role in $2.5 Million Medicare Fraud Scheme
December 7, 2018; U.S. Attorney; Eastern District of Virginia
Former Owner of Sleep Study Businesses Sentenced for Fraud
December 4, 2018; U.S. Department of Justice
Florida Home Health Services Company Owner and Co-Conspirator Plead Guilty for Roles in $8.6 Million Health Care Fraud Scheme
November 21, 2018; U.S. Department of Justice
Two Dallas Area Clinic Workers Charged in $5.9 Million Health Care Fraud Scheme
November 20, 2018; U.S. Department of Justice
Louisiana Doctor Pleads Guilty to Conspiring to Receive Health Care Kickback Payments
November 14, 2018; U.S. Department of Justice
Detroit Clinic Owner Sentenced to Over 13 Years in Prison for $8.9 Million Health Care Fraud Scheme
November 7, 2018; U.S. Department of Justice
Co-Owners of Miami Pain Management Clinic and Patient Recruiter Sentenced to Prison for Scheme to Distribute Medically Unnecessary Opioid Prescriptions
November 5, 2018; U.S. Department of Justice
Patient Recruiter Convicted in $1.1 Million Kickback Scheme
October 30, 2018; U.S. Department of Justice
Two Home Health Agency Owners and Two Employees Convicted for Roles in $3.7 Million Home Health Fraud Scheme
October 18, 2018; U.S. Department of Justice
Two Michigan Home Health Agency Owners Sentenced to Prison for Health Care Fraud
October 16, 2018; U.S. Department of Justice
Dallas Physicians and Nurses Sentenced to Prison for Role in $11 Million Medicare Fraud Scheme
October 15, 2018; U.S. Department of Justice
Health Care CEO Pleads Guilty to $150 Million Health Care Fraud Scheme Involving Harmful Injections and Unnecessary Prescription of Millions of Opioids
October 15, 2018; U.S. Attorney; Northern District of Iowa
Iowa Nurse Who Took Pain Medications from Nursing Home Patients Pleads Guilty
October 9, 2018; U.S. Department of Justice
Texas Hospital Administrator Convicted of Health Care Fraud for Role in $16 Million Medicare Fraud Scheme
October 9, 2018; U.S. Department of Justice
Miami-Area Pharmacy Owner Pleads Guilty for Role in $8.4 Million Medicare Fraud Scheme
October 4, 2018; U.S. Department of Justice
Texas Patient Recruiter Sentenced to Nine Years in Prison for $3.6 Million Home Health Care Fraud Scheme
September 27, 2018; U.S. Department of Justice
Detroit Doctor Sentenced to more than 11 Years in Prison for $8.9 Million Health Care Fraud Scheme
September 19, 2018; U.S. Department of Justice
Physician and Two Clinic Operators Found Guilty for Their Roles in $17 Million Medicare Fraud Scheme
August 28, 2018; U.S. Department of Justice
Co-Owners of Miami Pain Management Clinic Plead Guilty to Conspiracy to Distribute Medically Unnecessary Opioid Prescriptions
August 23, 2018; U.S. Department of Justice
California Doctor Convicted of Medicare Kickback Conspiracy
June 15, 2018; U.S. Department of Justice
Nurse Practitioner Pleads Guilty in Compounding Pharmacy Fraud Scheme
June 7, 2018; U.S. Department of Justice
Mississippi Physician Sentenced to Over Three Years in Prison for Role in $3 Million Compounding Pharmacy Fraud Scheme
June 7, 2018; U.S. Attorney; Middle District of Alabama
Former Chief Executive Officer of Health Care Company Charged with Giving Kickbacks to Pill Mill Doctor, Health Care Fraud, and Money Laundering
June 6, 2018; U.S. Department of Justice
Health Care CEO and Four Physicians Charged in Superseding Indictment in Connection with $200 Million Health Care Fraud Scheme Involving Unnecessary Prescription of Controlled Substances and Harmful Injections
May 25, 2018; U.S. Department of Justice
Doctor Convicted in $8.9 Million Health Care Fraud Scheme
May 17, 2018; U.S. Department of Justice
Michigan Home Health Agency Owner Pleads Guilty to Health Care Fraud Charges for Role in $8 Million Medicare Fraud Scheme
May 2, 2018; U.S. Department of Justice
Southern Texas Patient Recruiter Convicted in $3.6 Million Home Health Care Fraud Scheme

Highlights

60 Charged in Appalachian Region Opioid Takedown

Strike Force Statistics

As of January 2019